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ARTICLE |

Bilateral Vitallium Mold Arthroplasty of the Hip: 31-Year Follow-Up FREE

Thomas H. Mallory, MD; Otto E. Aufranc, MD
JAMA. 1971;215(4):640-640. doi:10.1001/jama.1971.03180170074021
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To the Editor.—  A cobalt-chromium alloy (Vitallium) mold arthroplasty of the hip, first performed by SmithPetersen in June 1938, has become an established procedure for the treatment of degenerative hip disease.2,3 Recently a patient who had undergone bilateral mold arthroplasties of one hip 31 and the other 29 1/2 years ago presented the longest living follow-up of bilateral cup arthroplasty.2 Her postoperative course is remarkable.

Report of a Case.—  Four years prior to admission to the Massachusetts General Hospital in 1939, at age 28, the patient began to experience pain in the left hip. Progressive loss of motion in the involved joint was accompanied by incapacitating pain. No trauma or childhood hip disease was known. X-ray films showed shallow acetabulae with broad and flattened femoral heads, consistent with congenital dysplastic hip disease. This woman walked with a bilateral Trendelenberg gait. The range of motion was 30° of

REFERENCES

Smith-Petersen MN:  Arthroplasty of the hip: A new method . J Bone Joint Surg 21:269-288. 1939;.
Aufranc OE:  Constructive hip surgery with the Vitallium mold: A report on 1,000 cases of arthroplasty of the hip over a 15 year period . J Bone Joint Surg 39A:237-247, 1957;.
Aufranc OE, Sweet EB:  Study of patients with hip arthroplasty at the Massachusetts General Hospital . JAMA 170:507, 1959;.
Charnley J:  Arthroplasty of the hip: A new operation Lancet 1:1129-1133, 1961;.
McKee GK, Watson-Farrar J:  Replacement of arthritic hips by the McKee-Farrar prosthesis . J Bone Joint Surg 48B:245-259, 1966;.
Harris W:  A new lateral approach to the hip joint . J Bone Joint Surg 49A:891-898, 1967;.
Harris W, Kriwan C:  The results of osteotomy for early primary osteoarthritis of the hip . J Bone Joint Surg 46B:477-487, 1964;.
Gibson A, Williams TH:  Changes in the femoral head underlying a Vitallium cup . J Bone Joint Surg 33B:119-121, 1951;.
Law WA, Marizoni A, Smith-Petersen MN:  Mold arthroplasty of the hip: Results after 12-21 years . Proc Roy Soc Med 63:583, 1970;.

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Smith-Petersen MN:  Arthroplasty of the hip: A new method . J Bone Joint Surg 21:269-288. 1939;.
Aufranc OE:  Constructive hip surgery with the Vitallium mold: A report on 1,000 cases of arthroplasty of the hip over a 15 year period . J Bone Joint Surg 39A:237-247, 1957;.
Aufranc OE, Sweet EB:  Study of patients with hip arthroplasty at the Massachusetts General Hospital . JAMA 170:507, 1959;.
Charnley J:  Arthroplasty of the hip: A new operation Lancet 1:1129-1133, 1961;.
McKee GK, Watson-Farrar J:  Replacement of arthritic hips by the McKee-Farrar prosthesis . J Bone Joint Surg 48B:245-259, 1966;.
Harris W:  A new lateral approach to the hip joint . J Bone Joint Surg 49A:891-898, 1967;.
Harris W, Kriwan C:  The results of osteotomy for early primary osteoarthritis of the hip . J Bone Joint Surg 46B:477-487, 1964;.
Gibson A, Williams TH:  Changes in the femoral head underlying a Vitallium cup . J Bone Joint Surg 33B:119-121, 1951;.
Law WA, Marizoni A, Smith-Petersen MN:  Mold arthroplasty of the hip: Results after 12-21 years . Proc Roy Soc Med 63:583, 1970;.
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